Original Article
Effects of the Mediterranean diet and exercise in subjects with coronary artery disease
Efeitos da dieta mediterrânica e exercício físico em indivíduos com doença arterial coronária
Andreia Noitesa,b,
, Joana Pintoa, Carla Patrícia Freitasa,c, Cristina Meloa, Aníbal Albuquerqued, Madalena Teixeirad, José Mesquita Bastosb
Corresponding author
a Department of Physiotherapy, School of Allied Health Technologies – Polytechnic Institute of Porto, Portugal
b Health Sciences Department, University of Aveiro, Portugal
c Hôpital du Jura bernois SA, Saint-Imier, Suisse
d Cardiology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Portugal
Read
6619
Timeswas read the article
1960
Total PDF
4659
Total HTML
Share statistics
array:25 [ "pii" => "S217420491500210X" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.09.005" "estado" => "S300" "fechaPublicacion" => "2015-11-01" "aid" => "695" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2015" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Cardiol. 2015;34:655-64" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3697 "formatos" => array:3 [ "EPUB" => 148 "HTML" => 2813 "PDF" => 736 ] ] "Traduccion" => array:1 [ "pt" => array:20 [ "pii" => "S0870255115002255" "issn" => "08702551" "doi" => "10.1016/j.repc.2015.05.004" "estado" => "S300" "fechaPublicacion" => "2015-11-01" "aid" => "695" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Cardiol. 2015;34:655-64" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4163 "formatos" => array:3 [ "EPUB" => 156 "HTML" => 3100 "PDF" => 907 ] ] "pt" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original</span>" "titulo" => "Efeitos da dieta mediterrânica e exercício físico em indivíduos com doença arterial coronária" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "655" "paginaFinal" => "664" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effects of the Mediterranean diet and exercise in subjects with coronary artery disease" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0025" "etiqueta" => "Fig. 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1303 "Ancho" => 2227 "Tamanyo" => 111601 ] ] "descripcion" => array:1 [ "pt" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">A: evolução da percentagem de gordura total avaliada por bioimpedância B: evolução da massa gorda avaliada pela bioimpedância.</p> <p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">GC: grupo de controlo (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10); GE: grupo experimental (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10); M0: momento inicial; M1: momento final.</p> <p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">*p<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,05.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andreia Noites, Joana Pinto, Carla Patrícia Freitas, Cristina Melo, Aníbal Albuquerque, Madalena Teixeira, José Mesquita Bastos" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Andreia" "apellidos" => "Noites" ] 1 => array:2 [ "nombre" => "Joana" "apellidos" => "Pinto" ] 2 => array:2 [ "nombre" => "Carla Patrícia" "apellidos" => "Freitas" ] 3 => array:2 [ "nombre" => "Cristina" "apellidos" => "Melo" ] 4 => array:2 [ "nombre" => "Aníbal" "apellidos" => "Albuquerque" ] 5 => array:2 [ "nombre" => "Madalena" "apellidos" => "Teixeira" ] 6 => array:2 [ "nombre" => "José" "apellidos" => "Mesquita Bastos" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S217420491500210X" "doi" => "10.1016/j.repce.2015.09.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491500210X?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115002255?idApp=UINPBA00004E" "url" => "/08702551/0000003400000011/v1_201511060141/S0870255115002255/v1_201511060141/pt/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2174204915002603" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.11.007" "estado" => "S300" "fechaPublicacion" => "2015-11-01" "aid" => "711" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Cardiol. 2015;34:665-72" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2005 "formatos" => array:3 [ "EPUB" => 160 "HTML" => 1440 "PDF" => 405 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Short- and long-term need for permanent pacemaker after transcatheter implantation of the Edwards Sapien aortic valve prosthesis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "665" "paginaFinal" => "672" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Necessidade a curto e a longo prazo de implantação de <span class="elsevierStyleItalic">pacemaker</span> permanente após implantação percutânea da válvula prostética aórtica <span class="elsevierStyleItalic">Edwards-Sapiens</span>" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 878 "Ancho" => 1844 "Tamanyo" => 101626 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Receiver operating characteristic curves of baseline plasma creatinine value for predicting need for pacemaker implantation during the entire follow-up (A) and during hospitalization or in the first month after transcatheter aortic valve implantation (B).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raúl Moreno, Luis Calvo, Angel Sánchez-Recalde, Guillermo Galeote, Santiago Jiménez-Valero, Teresa López, Ignacio Plaza, Rosa González-Davia, Ulises Ramírez, Jose Maria Mesa, Isidro Moreno-Gomez, José-Luis López-Sendón" "autores" => array:12 [ 0 => array:2 [ "nombre" => "Raúl" "apellidos" => "Moreno" ] 1 => array:2 [ "nombre" => "Luis" "apellidos" => "Calvo" ] 2 => array:2 [ "nombre" => "Angel" "apellidos" => "Sánchez-Recalde" ] 3 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Galeote" ] 4 => array:2 [ "nombre" => "Santiago" "apellidos" => "Jiménez-Valero" ] 5 => array:2 [ "nombre" => "Teresa" "apellidos" => "López" ] 6 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Plaza" ] 7 => array:2 [ "nombre" => "Rosa" "apellidos" => "González-Davia" ] 8 => array:2 [ "nombre" => "Ulises" "apellidos" => "Ramírez" ] 9 => array:2 [ "nombre" => "Jose Maria" "apellidos" => "Mesa" ] 10 => array:2 [ "nombre" => "Isidro" "apellidos" => "Moreno-Gomez" ] 11 => array:2 [ "nombre" => "José-Luis" "apellidos" => "López-Sendón" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255115002413" "doi" => "10.1016/j.repc.2015.05.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115002413?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915002603?idApp=UINPBA00004E" "url" => "/21742049/0000003400000011/v2_201703180236/S2174204915002603/v2_201703180236/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2174204915002135" "issn" => "21742049" "doi" => "10.1016/j.repce.2015.09.008" "estado" => "S300" "fechaPublicacion" => "2015-11-01" "aid" => "716" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "dis" "cita" => "Rev Port Cardiol. 2015;34:651-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2695 "formatos" => array:3 [ "EPUB" => 149 "HTML" => 2106 "PDF" => 440 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>" "titulo" => "Circadian patterns on ambulatory blood pressure monitoring: Do they really matter in daily clinical practice?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "651" "paginaFinal" => "653" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "O perfil circadiário de descida noturna da pressão arterial na MAPA é realmente importante na prática clínica diária?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Pinto" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Pinto" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S0870255115002462" "doi" => "10.1016/j.repc.2015.09.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115002462?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915002135?idApp=UINPBA00004E" "url" => "/21742049/0000003400000011/v2_201703180236/S2174204915002135/v2_201703180236/en/main.assets" ] "en" => array:21 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Effects of the Mediterranean diet and exercise in subjects with coronary artery disease" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "655" "paginaFinal" => "664" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Andreia Noites, Joana Pinto, Carla Patrícia Freitas, Cristina Melo, Aníbal Albuquerque, Madalena Teixeira, José Mesquita Bastos" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Andreia" "apellidos" => "Noites" "email" => array:1 [ 0 => "arn@estsp.ipp.pt" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Joana" "apellidos" => "Pinto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Carla Patrícia" "apellidos" => "Freitas" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Cristina" "apellidos" => "Melo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Aníbal" "apellidos" => "Albuquerque" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 5 => array:3 [ "nombre" => "Madalena" "apellidos" => "Teixeira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 6 => array:3 [ "nombre" => "José Mesquita" "apellidos" => "Bastos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Department of Physiotherapy, School of Allied Health Technologies – Polytechnic Institute of Porto, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Health Sciences Department, University of Aveiro, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Hôpital du Jura bernois SA, Saint-Imier, Suisse" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Cardiology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Portugal" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Efeitos da dieta mediterrânica e exercício físico em indivíduos com doença arterial coronária" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1005 "Ancho" => 1550 "Tamanyo" => 94551 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Distribution of the study population by classes of body mass index. CG: control group (n=10); EG: experimental group (n=10).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Cardiovascular disease is the leading cause of death in Europe. It is responsible for over four million deaths annually,<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">1</span></a> and is one of the main causes of morbidity in Portugal and in Europe as a whole.<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Cardiac rehabilitation (CR) is a multidisciplinary intervention that includes components designed to reduce cardiovascular risk, encourage healthy behaviors, reduce physical impairment and promote an active lifestyle. The main elements of a CR program are counseling on exercise and control of modifiable cardiovascular risk factors such as hypertension, smoking, dyslipidemia, diabetes, sedentary lifestyle, obesity, alcohol abuse, stress and depression.<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">2,3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Lifestyle and diet are considered the main modifiable factors in cardiovascular prevention, with health benefits being achieved by increasing exercise levels and adopting a healthier diet.<a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">4,5</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The Mediterranean diet is characterized by plentiful plant foods such as bread, pasta and rice, green vegetables and legumes, fresh fruit, olive oil as the main source of fats, moderate quantities of fish, poultry, dairy products and eggs, small quantities of red meat and moderate consumption of wine, usually with meals. The diet is notable for its low levels of saturated fatty acids and high levels of monounsaturated fats, complex sugars, dietary fiber and antioxidants.<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">6</span></a> It protects against coronary artery disease and is associated with reduced cardiovascular mortality.<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">6,7</span></a> As well as its antioxidant and anti-inflammatory properties, which appear to be behind the reduction in cardiovascular risk,<a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">4,8</span></a> the Mediterranean diet may also help control weight and combat obesity.<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">9</span></a> The absolute quantity of body fat is less important than its anatomical distribution, with greater accumulation of adipose tissue in the abdominal region (male pattern) being associated with metabolic complications.<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">10,11</span></a> The energy imbalance that leads to overweight is due not only to unhealthy eating habits but also to a sedentary lifestyle.<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">12</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In a study of 28 European countries, the European Association for Cardiovascular Prevention & Rehabilitation showed that only 4% of eligible patients participated in phase II or phase III CR programs.<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">13</span></a> This low rate of access to CR, together with the poor adherence associated with such programs, suggests that home-based CR is an attractive alternative in individuals at low cardiovascular risk. Properly structured and monitored home-based CR programs appear to be more effective than hospital-based programs in maintaining exercise levels and improving adherence.<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">14,15</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">The aim of the present study was to investigate the effects of the Mediterranean diet in isolation and in conjunction with a home-based exercise program in modifying eating behaviors, body composition and abdominal fat in individuals with coronary heart disease participating in a phase IV (maintenance) CR program.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Study population</span><p id="par0035" class="elsevierStylePara elsevierViewall">The sample in this randomized controlled trial was composed of 20 subjects with known coronary heart disease at least a year after myocardial infarction (MI) who were followed in outpatient cardiology consultations between September 2011 and September 2012. They all participated in phase I CR during post-MI hospitalization and an eight-week training phase at the hospital. Patients were invited individually to participate in the trial around nine months after the end of the training phase, in accordance with the inclusion and exclusion criteria (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>).</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">A total of 21 subjects agreed to participate in the study and were randomized to two groups using Microsoft Excel<span class="elsevierStyleSup">®</span> 2010: an experimental group (EG), 10 participants following a home-based exercise program and education sessions on the Mediterranean diet; and a control group (CG) consisting of 11 participants who received the dietary education sessions but did not follow an exercise program (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). However, one member of the CG was excluded for failure to remain in contact and to attend the assessment sessions, and so the CG also had 10 participants by the end of the study.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Instruments</span><p id="par0045" class="elsevierStylePara elsevierViewall">A descriptive questionnaire was administered to all subjects who agreed to take part in the trial to confirm conformity with the inclusion and exclusion criteria. The questionnaire was divided into two parts, the first on demographic characteristics and the second on other medical conditions and/or limitations to participation in the study.</p><p id="par0050" class="elsevierStylePara elsevierViewall">The Montreal Cognitive Assessment was used for cognitive screening, since participants had to understand the study's indications in order to perform the home-based exercise program safely.<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">16</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">A semiquantitative food frequency questionnaire (FFQ) was applied to determine intake of total fat (kcal), saturated fat (kcal), monounsaturated fat (kcal), polyunsaturated fat (kcal), carbohydrate (kcal), protein (kcal), dietary fiber (g), cholesterol (mg), alcohol (g) and calories (kcal). The questionnaire consisted of a list of 86 individual foods or food groups, the intake of each one, predefined as an average portion, being classified as one of nine levels, ranging from “never or less than once a month” to “six or more times a day”. This FFQ has been validated for the Portuguese population<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">17</span></a> and in the present study presented a Cronbach's alpha of 0.70. Food Processor Plus<span class="elsevierStyleSup">®</span> software (ESHA Research Inc., Salem, OR) was used to convert food intake into nutrients.</p><p id="par0060" class="elsevierStylePara elsevierViewall">Height was measured using a Seca 222 stadiometer (Seca, Birmingham, UK) with 1-mm gradations. A non-elastic tape with 1-mm gradations was used to measure waist circumference; this instrument showed excellent intraobserver reliability, with an intraclass correlation coefficient of 0.98 (3.1).<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">18</span></a> Waist-to-height ratio (WHR) was calculated; this correlates strongly with obesity, a value of 0.5 being taken as the cutoff for coronary risk in various populations.<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">19</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Body composition was assessed using a TBF-300A body composition analyzer (Tanita Corporation, Arlington Heights, IL). This model, which has four electrodes (foot-to-foot), measures weight (kg), total fat percentage, total fat mass (kg) and total lean mass (kg) and presents a good correlation with the reference method, dual-energy X-ray absorptiometry (r=0.741).<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">20</span></a> It has a maximum capacity of 200 kg with a precision of 100 g for weight, fat mass and lean mass and 0.1% for total fat percentage.<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">21,22</span></a></p><p id="par0070" class="elsevierStylePara elsevierViewall">The Polar<span class="elsevierStyleSup">®</span> RS300X heart rate monitor (Polar Electro Oy, Kempele, Finland) was used during the session in which exercises were prescribed and taught.<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">23</span></a> The Borg Rating of Perceived Exertion scale (6–20) was used to assess the levels of exertion perceived by the participants.<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">24</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Procedures</span><p id="par0075" class="elsevierStylePara elsevierViewall">Subjects were assessed in the outpatient clinic of the cardiology department of Centro Hospitalar de Vila Nova de Gaia at two time points: initial (T0) and final (T1), eight weeks later.</p><p id="par0080" class="elsevierStylePara elsevierViewall">During the face-to-face sessions, all participants, in both EG and CG, were asked to follow a Mediterranean diet based on the National Cholesterol Education Program/American Heart Association Step I diet as recommended for cardiovascular patients.<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">25</span></a> The sessions were backed up by leaflets to help them follow the diet at home.</p><p id="par0085" class="elsevierStylePara elsevierViewall">Subjects’ body mass index (BMI) was calculated as weight in kg divided by height in m squared and was classified as normal (18.5–24.9), overweight (25–29.9) or obese (≥30).<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">6,26</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">Measurements on the bioimpedance scale were taken with the subjects without shoes, wearing as little clothing as possible and with no metal objects. They had also been told not to consume alcohol, caffeine or heavy meals in the 24 hours before the assessment, to urinate half an hour before weighing and to avoid strenuous exercise in the four hours before.<a class="elsevierStyleCrossRefs" href="#bib0320"><span class="elsevierStyleSup">22,26</span></a></p><p id="par0095" class="elsevierStylePara elsevierViewall">Waist circumference was measured with the subjects positioned with their arms by their sides and feet shoulder-width apart at the mid-point between the lowest rib and the iliac crest.<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">26</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">The exercise protocol (<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>) consisted of 10 exercises and was divided into the following stages: warm-up, conditioning and cool-down.<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">27,28</span></a> The exercises were taught during individual face-to-face sessions, backed up by illustrated leaflets to help participants to perform the protocol at home.</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">The exercise protocol was intended to be of moderate intensity, and so the exercises began at 60% of the maximum heart rate attained in exercise testing following the Bruce protocol and progressed to 70%. The home-based CR program was designed to last two months, with at least three sessions a week. Initial training in the exercise protocol and fortnightly face-to-face meetings took place in the outpatient clinic of Centro Hospitalar de Vila Nova de Gaia. Progress in the exercises was monitored after four weeks, participants being assessed individually in terms of exercise heart rate and Borg exertion scale.<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">27,29</span></a> These sessions emphasized the importance of subjects self-monitoring their home-based exercise program by means of the Borg scale and measuring heart rate at the radial pulse at the end of each exercise and every 5 min during the walking component. The home-based CR program was monitored remotely every week through text messages, telephone calls or email and by fortnightly face-to-face meetings, in order to encourage adherence to the exercise program and to clarify any questions the participants might have had concerning the exercises or the Mediterranean diet.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Ethics</span><p id="par0110" class="elsevierStylePara elsevierViewall">The trial was approved by the Ethics Committee of Centro Hospitalar de Vila Nova de Gaia (166/2011) and registered at ClinicalTrials.gov (<a href="ctgov:NCT01887080">NCT01887080</a>). The participants were informed of the study's aims and procedures and provided written consent in accordance with the Declaration of Helsinki (1964).</p><p id="par0115" class="elsevierStylePara elsevierViewall">Patients in the control group were given the opportunity to undertake the exercise program after the trial ended.</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Statistical analysis</span><p id="par0120" class="elsevierStylePara elsevierViewall">The analysis was performed using the software package PASW<span class="elsevierStyleSup">®</span> Statistics version 20 (IBM Corporation, Somers, NY) for Windows 7<span class="elsevierStyleSup">®</span>, for a level of significance of 0.05 and 95% confidence interval.<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">30</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">The sample was characterized by descriptive statistics using medians as a measure of central tendency and interquartile deviation as a measure of dispersion.<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">30</span></a></p><p id="par0130" class="elsevierStylePara elsevierViewall">Non-parametric statistics were used, comparing EG and CG at T0 and T1 with the Mann-Whitney test for continuous variables and Fisher's exact test for categorical variables. Comparison within groups (between T0 and T1) was performed using Wilcoxon's test.<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">30</span></a></p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Results</span><p id="par0135" class="elsevierStylePara elsevierViewall">Both the EG and the CG consisted of four females and six males. Age, weight, height and BMI at T0 are shown in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>. There were no statistically significant differences between the groups at T0.</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0140" class="elsevierStylePara elsevierViewall">Around 80% of subjects in both groups had a BMI above normal (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>), while WHR was over 0.5 in all individuals.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0145" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> presents reference values for the variables analyzed in the FFQ and the values in the present study at T0 and T1.</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">There were no statistically significant differences between the groups in the variables analyzed by the FFQ at T0, but after eight weeks there were significant falls in the EG in intake of protein (p=0.025; U=20.000) and cholesterol (p=0.025; U=20.000) (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">There were no significant differences in intake of carbohydrate or saturated fat in the EG between T0 and T1, but significant reductions in these parameters were seen in the CG (p=0.008; Z=−2.505 and p=0.008; Z=−2.505, respectively).</p><p id="par0160" class="elsevierStylePara elsevierViewall">With regard to BMI and WHR, there were no significant differences between the groups at either T0 or T1. WHR decreased significantly in the EG over the course of the trial (p=0.08; Z=−2.505), but no significant changes were seen in BMI (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>).</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0165" class="elsevierStylePara elsevierViewall">Body composition as shown by bioimpedance did not differ significantly between the two groups at either time point. At the end of the study a significant reduction was seen in total fat percentage in both the EG (p=0.008; Z=−2.558) and the CG (p=0.002; Z=−2.812) (<a class="elsevierStyleCrossRef" href="#fig0025">Figure 5</a>A) and in fat mass (p=0.002; Z=−2.827 and p=0.008; Z=−2.519, respectively) (<a class="elsevierStyleCrossRef" href="#fig0025">Figure 5</a>B). No changes were seen in lean mass.</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0170" class="elsevierStylePara elsevierViewall">The eight-week exercise program consisted of a minimum of 24 sessions (three per week), with a maximum of 36 (up to seven per week); 65% of participants only completed the minimum of 24 sessions.</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Discussion</span><p id="par0175" class="elsevierStylePara elsevierViewall">The large number of patients excluded from the study before randomization was due to the fact that this home-based CR program was intended for patients at low cardiovascular risk who had to be safely monitored remotely while remaining in active control. Furthermore, individuals with comorbidities that could have limited their ability to perform the exercise protocol correctly were also excluded.</p><p id="par0180" class="elsevierStylePara elsevierViewall">The FFQ demonstrated that daily nutrient intake in the study population did not meet recommended levels for a healthy diet, particularly with regard to fat intake. Before the education sessions on the Mediterranean diet, consumption of cholesterol, protein, total fat and saturated fat was excessive, while monounsaturated and polyunsaturated fat consumption was less than recommended. Although most studies focus on individual nutrients, various patterns of eating habits can affect cardiovascular risk and its main risk factors. The Mediterranean diet provides a wide range of nutrients and improves energy balance, thereby reducing cardiovascular risk. This means that rather than focusing on specific nutrients or foods, individuals should aim to improve their diet as a whole.<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">31</span></a></p><p id="par0185" class="elsevierStylePara elsevierViewall">Protein and cholesterol intake decreased significantly in the EG compared to the CG, approaching recommended values, after the eight-week exercise program. Recent studies suggest that exercise activates leptin receptor-positive neurons in the ventromedial hypothalamic nucleus, involved in homeostatic control of energy balance, which would explain why exercise increases postprandial satiation.<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">32,33</span></a> Another possible explanation is the motivational factor of following a CR program, which gives added incentive to adopt healthy eating habits.</p><p id="par0190" class="elsevierStylePara elsevierViewall">In the present study, there was a significant reduction in carbohydrate and saturated fat intake in those who only attended the education sessions over a two-month period on the Mediterranean diet. This illustrates the importance of including these dietary recommendations in CR programs, in agreement with World Health Organization guidelines for limiting saturated fat intake, given its demonstrated link with cardiovascular disease. The Mediterranean diet has been shown to reduce cardiovascular events and risk factors such as dyslipidemia, hypertension, diabetes and insulin resistance.<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">34</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">Another point to note is the tendency for total fat intake to increase over the course of the study, but this was the result of increased consumption of monounsaturated and polyunsaturated fat, while saturated fat intake fell, in accordance with recommendations for a healthy diet.</p><p id="par0200" class="elsevierStylePara elsevierViewall">BMI values did not change significantly over the course of the study in either group, but a significant reduction in WHR was seen in the EG, highlighting the importance of associating the Mediterranean diet with exercise for secondary prevention in cardiovascular patients.<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">35</span></a> The exercise protocol in this study achieved its purpose, showing that the association of exercise and the Mediterranean diet is more effective than diet modification by itself. This home-based phase IV CR program was intended to promote long-term maintenance of activity levels and behaviors developed during phase III, as well as to encourage lifestyle changes, based on empowerment, the process by which people gain control over the factors and decisions that shape their lives.<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">36</span></a></p><p id="par0205" class="elsevierStylePara elsevierViewall">Nevertheless, by the end of the study over 50% of the EG still had a WHR of >0.5, associated with increased cardiovascular risk. This may be due to the short duration of the study (eight weeks) and variation in the number of sessions completed.<a class="elsevierStyleCrossRefs" href="#bib0330"><span class="elsevierStyleSup">24–36</span></a></p><p id="par0210" class="elsevierStylePara elsevierViewall">The changes observed in body composition in both groups demonstrate the effectiveness of the Mediterranean diet in reducing fat mass. Such changes appear to be due to the lower intake of saturated fatty acids and hydrogenated fat and the higher consumption of monounsaturated fatty acids in this diet, reflecting reduced consumption of animal fat and greater consumption of nuts and vegetable margarine. Depending on energy status, monounsaturated fatty acids are more rapidly oxidized than saturated fatty acids, which increases the use of fatty acids by muscles, reducing the accumulation found with saturated fat and thereby lowering the risk of obesity.<a class="elsevierStyleCrossRefs" href="#bib0395"><span class="elsevierStyleSup">37,38</span></a> The role of adipose tissue in the production and secretion of a wide range of inflammatory molecules is well documented, and it has been shown that weight loss, particularly of fat mass, reduces macrophage infiltration and thereby improves the inflammatory profile.<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">39</span></a> However, in our study there was a greater reduction of fat mass in the EG after eight weeks, which could be due to the effect of exercise on lipolysis of adipocytes and use of fatty acids. In-vitro studies indicate that exercise reduces adipocyte size, an effect that does not appear to be produced by dietary restriction alone.<a class="elsevierStyleCrossRefs" href="#bib0410"><span class="elsevierStyleSup">40,41</span></a></p><p id="par0215" class="elsevierStylePara elsevierViewall">The quantity of lean mass did not alter in either group, which may be due to the controlled and moderate intake of vegetable protein and, in the case of the EG, the association with endurance training, which could have reduced age-related muscle loss.<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">27,28</span></a></p><p id="par0220" class="elsevierStylePara elsevierViewall">Although the benefits of CR programs are well known, the exercise component can be problematic, with low rates of adherence and high dropout rates.<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">42</span></a> In the present study, three participants did not adhere to the program and one was excluded due to failure to attend sessions. In the EG, 65% of subjects completed only the minimum number of sessions (three per week). The reasons given by participants were lack of time due to work commitments and weather conditions affecting the walking component.</p><p id="par0225" class="elsevierStylePara elsevierViewall">The small sample size is a limitation of the present study, and larger studies should be performed. Future studies should also include a structured dietary plan for each participant based on calculation of energy requirements and the corresponding distribution of the macronutrients of the Mediterranean diet.</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conclusion</span><p id="par0230" class="elsevierStylePara elsevierViewall">Encouragement to follow the Mediterranean diet in individuals with known coronary heart disease was shown to change eating behaviors, with reduced intake of carbohydrate and saturated fat, reflected in lower fat mass. However, the addition of a home-based exercise program was associated with reduced protein and cholesterol intake and decreased fat mass and abdominal fat.</p><p id="par0235" class="elsevierStylePara elsevierViewall">The study therefore appears to support the idea that recommending the Mediterranean diet in order to modify dietary behaviors, together with regular programmed exercise, in patients with coronary heart disease on a phase IV CR program can minimize the risk of developing metabolic disorders and hence reduce cardiovascular risk.</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conflicts of interest</span><p id="par0240" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:12 [ 0 => array:3 [ "identificador" => "xres816387" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec813623" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres816386" "titulo" => "Resumo" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Introdução" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusão" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec813624" "titulo" => "Palavras-chave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:3 [ "identificador" => "sec0010" "titulo" => "Methods" "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Study population" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Instruments" ] 2 => array:2 [ "identificador" => "sec0025" "titulo" => "Procedures" ] 3 => array:2 [ "identificador" => "sec0030" "titulo" => "Ethics" ] 4 => array:2 [ "identificador" => "sec0035" "titulo" => "Statistical analysis" ] ] ] 6 => array:2 [ "identificador" => "sec0040" "titulo" => "Results" ] 7 => array:2 [ "identificador" => "sec0045" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0050" "titulo" => "Conclusion" ] 9 => array:2 [ "identificador" => "sec0055" "titulo" => "Conflicts of interest" ] 10 => array:2 [ "identificador" => "xack274000" "titulo" => "Acknowledgments" ] 11 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-03-20" "fechaAceptado" => "2015-05-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec813623" "palabras" => array:4 [ 0 => "Cardiovascular disease" 1 => "Cardiac rehabilitation" 2 => "Mediterranean diet" 3 => "Exercise program" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec813624" "palabras" => array:4 [ 0 => "Doenças cardiovasculares" 1 => "Reabilitação cardiovascular" 2 => "Dieta mediterrânica" 3 => "Programa de exercícios" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The association of the Mediterranean diet and exercise appears to have a protective role, reducing cardiovascular risk. This study investigated the effects of education sessions on the Mediterranean diet and an exercise program in modifying eating behaviors, body composition and abdominal fat.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">An experimental study was performed on 20 subjects with known coronary heart disease randomly assigned to experimental (n=10) and control (n=10) groups. Both groups received education sessions on the Mediterranean diet, but the experimental group also followed an eight-week program of specific exercises. A semiquantitative food frequency questionnaire was administered to analyze food intake, bioimpedance was used to measure weight, fat mass and lean mass, and waist circumference was measured to calculate waist-to-height ratio.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">After eight weeks, protein (p<0.05) and cholesterol (p<0.05) intake in the experimental group had decreased significantly compared with the control group. Between the beginning and end of the study, there were significant decreases in the control group in carbohydrate (p<0.05) and saturated fat intake (p<0.05). In both groups the percentage of total fat (p<0.05) and fat mass (p<0.05) was significantly decreased. In the experimental group the waist-to-height ratio was significantly reduced (p<0.05).</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The Mediterranean diet reduced carbohydrate and saturated fat intake, reflected in reduced fat mass. The association of the exercise program showed additional benefits in reduction of protein and cholesterol intake and abdominal fat.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] "pt" => array:3 [ "titulo" => "Resumo" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introdução</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A associação da dieta mediterrânica e de exercício físico parecem apresentar um papel protetor na diminuição do risco cardiovascular. Este estudo pretende verificar os efeitos de sessões de educação fundamentadas na dieta mediterrânica e de um programa de exercícios na modificação de comportamentos alimentares, composição corporal e gordura abdominal.</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo experimental composto por 20 indivíduos, com doença arterial coronária conhecida, distribuídos aleatoriamente em dois grupos: experimental (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10) e controlo (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10). Ambos os grupos foram sujeitos às sessões de educação para a saúde, mas o grupo experimental executou um programa suplementar de exercícios específicos durante oito semanas. Foi utilizado o questionário semiquantitativo de frequência alimentar para análise da ingestão de alimentos, a bioimpedância para medição do peso, massa gorda e massa magra, e o perímetro da cintura para cálculo da razão cintura-estatura.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Após as oito semanas, o grupo experimental ingeriu significativamente menos proteínas (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) e colesterol (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) em comparação com o grupo controlo. Do momento inicial para o final, verificou-se apenas no grupo controlo uma diminuição significativa na ingestão de hidratos de carbono (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) e de gorduras saturadas (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05). Ambos os grupos diminuíram significativamente a percentagem de gordura total (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) e massa gorda (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05). O grupo experimental diminuiu significativamente a razão cintura-estatura (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05).</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusão</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A dieta mediterrânica reduziu a ingestão alimentar de hidratos de carbono e gorduras saturadas, refletindo-se na redução da massa gorda. A associação do programa de exercícios demonstrou benefícios acrescidos na diminuição da ingestão de proteínas e de colesterol, assim como na redução da gordura abdominal.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Introdução" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusão" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Noites A, Pinto J, Freitas CP, et al. Efeitos da dieta mediterrânica e exercício físico em indivíduos com doença arterial coronária. Rev Port Cardiol. 2015;34:655–664.</p>" ] ] "multimedia" => array:9 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2364 "Ancho" => 2474 "Tamanyo" => 280876 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Diagram of the selection process, allocation, and final composition of the study population.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1005 "Ancho" => 1550 "Tamanyo" => 94551 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Distribution of the study population by classes of body mass index. CG: control group (n=10); EG: experimental group (n=10).</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1282 "Ancho" => 2311 "Tamanyo" => 130059 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">A: Cholesterol intake in the two groups at the final time point. B: Protein intake in the two groups at the final time point. CG: control group (n=10); EG: experimental group (n=10). *p≤0.05.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 1284 "Ancho" => 2227 "Tamanyo" => 142137 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">A: Changes in body mass index. B: Changes in waist-to-height ratio. BMI: body mass index; CG: control group (n=10); EG: experimental group (n=10); T0: initial time point; T1: final time point; WHR: waist-to-height ratio. *p≤0.05.</p>" ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Figure 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1303 "Ancho" => 2317 "Tamanyo" => 148674 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">A: Changes in total fat percentage as assessed by bioimpedance. B: Changes in fat mass as assessed by bioimpedance. CG: control group (n=10); EG: experimental group (n=10); T0: initial time point; T1: final time point. *p≤0.05.</p>" ] ] 5 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">MI: myocardial infarction; MoCA: Montreal Cognitive Assessment; NYHA: New York Heart Association.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Inclusion \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col">Exclusion \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">- Known stable coronary heart disease<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">1–3</span></a><br>- Over 12 months since MI<br>- Age 40–75 years for both sexes<br>- MoCA score ≥26<span class="elsevierStyleHsp" style=""></span><a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">4–6</span></a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">- Illiteracy<br>- Left ventricular ejection fraction <35%<br>- NYHA class II or above, severe valve disease, myocardial revascularization (percutaneous or surgical) or complex ventricular arrhythmias in the previous 12 months<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">1,6,7</span></a><br>- Disabling bone, neurological or/and/or peripheral vascular disease<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">1,3</span></a><br>- Any other scheduled or urgent intervention that could restrict participation in the trial. \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1372086.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Inclusion and exclusion criteria.</p>" ] ] 6 => array:7 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">HR: heart rate; PNF: proprioceptive neuromuscular facilitation.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Phase \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Exercises \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Description \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " rowspan="2" align="left" valign="middle">Warm-up (12 min)</td><td class="td" title="table-entry " align="left" valign="top">Stationary walking \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Flexion of hip and opposite shoulder, standing in one spot. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Spine rotations (15 repetitions) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Hands on waist; rotation of trunk approximately 90° in both directions. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " rowspan="4" align="left" valign="middle">Conditioning: strength (15–20 min) (number of repetitions calculated to achieve 60–70% of maximum HR)</td><td class="td" title="table-entry " align="left" valign="top">Crossing \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">This exercise is performed while stationary walking. PNF 1st diagonal flexion of the arms (with components of flexion, adduction and external rotation of the shoulder joint); after four weeks PNF 2nd diagonal flexion of the arms (with components of flexion, abduction and external rotation of the shoulder). \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Ankle movements \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Dorsiflexion/plantar flexion of the ankles, initially in a sitting position and after four weeks while standing. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Backward arm movements \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">This exercise is performed while stationary walking. Extension, abduction and external rotation of the shoulder joint to its fullest extent. At the end of the movement the patient performs 10 small extensions. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sit-rise \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sitting in a chair without leaning back, with arms crossed across the chest, the patient rises until maximum anteversion of the pelvis. The sitting movement should be controlled. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " rowspan="2" align="left" valign="middle">Conditioning: endurance (35–40 min) (number of repetitions calculated to achieve 60–70% of maximum HR)</td><td class="td" title="table-entry " align="left" valign="top">Step forward, sideways, and back \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">A half-step forward and back flexing both arms; a half-step sideways abducting and laterally rotating both arms. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Walking (30 min) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Performed at the individual's own pace (exercise HR recorded every 5 min). \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " rowspan="2" align="left" valign="middle">Stretching (6 min) (four repetitions, sustained for 15 s)</td><td class="td" title="table-entry " align="left" valign="top">Posterior leg muscles \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Stretching of the calf muscle. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Anterior muscles of the forearm \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Stretching of the flexor muscles of the hand. \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1372084.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Organization and description of the exercise protocol.</p>" ] ] 7 => array:7 [ "identificador" => "tbl0015" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">BMI: body mass index; CG: control group; EG: experimental group; IQD: interquartile deviation; Max.: maximum; Md: median; Min.: minimum.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Group \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Variable \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Md ± IQD \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Min. \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Max. \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">U \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">EG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="middle">Age (years)</td><td class="td" title="table-entry " align="char" valign="top">58.00±4.50 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">41.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">74.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">37.000</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">0.324</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">60.00±4.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">55.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">74.00 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">EG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="middle">Weight (kg)</td><td class="td" title="table-entry " align="char" valign="top">77.00±9.50 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">61.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">96.40 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">44.000</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">0.649</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">77.70±19.50 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">51.30 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">109.60 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">EG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="middle">Height (m)</td><td class="td" title="table-entry " align="char" valign="top">1.60±0.05 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.57 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.68 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">44.000</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">0.649</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.63±0.08 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.45 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.73 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">EG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="middle">BMI</td><td class="td" title="table-entry " align="char" valign="top">29.83±4.86 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24.44 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">34.16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">48.000</td><td class="td" title="table-entry " rowspan="2" align="char" valign="middle">0.879</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">CG \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">29.24±4.86 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24.40 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">36.62 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1372085.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Median, interquartile deviation, minimum and maximum of age and anthropometric variables at the initial time point of the study in the experimental group (n=10) and the control group (n=10).</p>" ] ] 8 => array:7 [ "identificador" => "tbl0020" "etiqueta" => "Table 4" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">T0: initial time point; T1: final time point.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Variable \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">T0 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">T1 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Reference \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Calories (kcal) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1826.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1733.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2000 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Total fat (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">31.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">32.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">≤30 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Saturated fat (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><7 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Polyunsaturated fat (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">>10 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Monounsaturated fat (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">13.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">>15 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Carbohydrate (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">55.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">50.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">50–60 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Protein (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">20.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">21.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Dietary fiber (g) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">23.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">20–30 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Cholesterol (mg) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">261.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">271.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><200 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Alcohol (g) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><5.8 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1372087.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Reference values for the variables analyzed in the food frequency questionnaire<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">8</span></a> and the values at the beginning and end of the study.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:42 [ 0 => array:3 [ "identificador" => "bib0215" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:2 [ "titulo" => "European Cardiovascular Disease Statistics 2012 Edition" "serieFecha" => "September 2012" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0220" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Programa Nacional de Prevenção e Controlo de Doenças Cardiovasculares; 2006." ] ] ] 2 => array:3 [ "identificador" => "bib0225" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "EACPR" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/eurheartj/ehq236" "Revista" => array:6 [ "tituloSerie" => "Eur Heart J" "fecha" => "2010" "volumen" => "31" "paginaInicial" => "1967" "paginaFinal" => "1974" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20643803" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0230" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Mediterranean diet: the reasons for a success" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M. Bonaccio" 1 => "L. Iacoviello" 2 => "G. de Gaetano" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.thromres.2011.10.018" "Revista" => array:6 [ "tituloSerie" => "Thromb Res" "fecha" => "2012" "volumen" => "129" "paginaInicial" => "401" "paginaFinal" => "404" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22100317" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0235" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nutrition and the healthy heart with an exercise boost" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T.F. Whayne Jr." 1 => "N. Maulik" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1139/y2012-074" "Revista" => array:6 [ "tituloSerie" => "Can J Physiol Pharmacol" "fecha" => "2012" "volumen" => "90" "paginaInicial" => "967" "paginaFinal" => "976" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22812658" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0240" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "European Guidelines on cardiovascular disease prevention in clinical practice (version 2012), The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Perk" 1 => "G. De Backer" 2 => "H. Gohlke" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/eurheartj/ehs092" "Revista" => array:6 [ "tituloSerie" => "Eur Heart J" "fecha" => "2012" "volumen" => "33" "paginaInicial" => "1635" "paginaFinal" => "1701" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22555213" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0245" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Adherence to the Mediterranean diet reduces mortality in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "G. Buckland" 1 => "A. Agudo" 2 => "N. Travier" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1017/S0007114511002078" "Revista" => array:6 [ "tituloSerie" => "Br J Nutr" "fecha" => "2011" "volumen" => "106" "paginaInicial" => "1581" "paginaFinal" => "1591" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21736834" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0250" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mediterranean diet and cardioprotection: the role of nitrite, polyunsaturated fatty acids, and polyphenols" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.M. Nadtochiy" 1 => "E.K. Redman" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.nut.2010.12.006" "Revista" => array:6 [ "tituloSerie" => "Nutrition" "fecha" => "2011" "volumen" => "27" "paginaInicial" => "733" "paginaFinal" => "744" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21454053" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0255" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mediterranean diet and coronary heart disease: is obesity a link? – A systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "C.M. Kastorini" 1 => "H.J. Milionis" 2 => "J.A. Goudevenos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.numecd.2010.04.006" "Revista" => array:6 [ "tituloSerie" => "Nutr Metab Cardiovasc Dis" "fecha" => "2010" "volumen" => "20" "paginaInicial" => "536" "paginaFinal" => "551" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20708148" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0260" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of abdominal visceral and subcutaneous adipose tissue on cardiometabolic risk factors: the Jackson Heart Study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Liu" 1 => "C.S. Fox" 2 => "D.A. Hickson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1210/jc.2010-1378" "Revista" => array:6 [ "tituloSerie" => "J Clin Endocrinol Metab" "fecha" => "2010" "volumen" => "95" "paginaInicial" => "5419" "paginaFinal" => "5426" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20843952" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0265" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Subcutaneous and visceral adipose tissue: structural and functional differences" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.M. Ibrahim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1467-789X.2009.00623.x" "Revista" => array:6 [ "tituloSerie" => "Obes Rev" "fecha" => "2009" "volumen" => "11" "paginaInicial" => "11" "paginaFinal" => "18" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19656312" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0270" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lifestyle modification for obesity: new developments in diet, physical activity, and behavior therapy" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T.A. Wadden" 1 => "V.L. Webb" 2 => "C.H. Moran" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/CIRCULATIONAHA.111.039453" "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2012" "volumen" => "125" "paginaInicial" => "1157" "paginaFinal" => "1170" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22392863" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0275" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "B. Bjarnason-Wehrens" 1 => "H. McGee" 2 => "A.D. Zwisler" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/HJR.0b013e328334f42d" "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiovasc Prev Rehabil" "fecha" => "2010" "volumen" => "17" "paginaInicial" => "410" "paginaFinal" => "418" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20300001" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0280" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home-based cardiac rehabilitation is an attractive alternative to no cardiac rehabilitation for elderly patients with coronary heart disease: results from a randomised clinical trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "B. Oerkild" 1 => "M. Frederiksen" 2 => "J.F. Hansen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "BMJ Open" "fecha" => "2012" "paginaInicial" => "2012" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0285" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home versus hospital-based cardiac rehabilitation: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Blair" 1 => "H. Corrigall" 2 => "N.J. Angus" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rural Remote Health" "fecha" => "2011" "volumen" => "11" "paginaInicial" => "1532" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21488706" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0290" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation studies of the Portuguese experimental version of the Montreal Cognitive Assessment (MoCA): confirmatory factor analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "D. Duro" 1 => "M.R. Simões" 2 => "E. Ponciano" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00415-009-5399-5" "Revista" => array:6 [ "tituloSerie" => "J Neurol" "fecha" => "2010" "volumen" => "257" "paginaInicial" => "728" "paginaFinal" => "734" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19937448" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0295" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intake and adipose tissue composition of fatty acids and risk of myocardial infarction in a male Portuguese community sample" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "C. Lopes" 1 => "A. Aro" 2 => "A. Azevedo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jada.2006.11.008" "Revista" => array:6 [ "tituloSerie" => "J Am Diet Assoc" "fecha" => "2007" "volumen" => "107" "paginaInicial" => "276" "paginaFinal" => "286" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17258965" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0300" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Design and analysis of clinical experiments" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Fleiss" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1986" "editorial" => "Wiley and Son" "editorialLocalizacion" => "New York" ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0305" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 could be a suitable global boundary value" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.M. Browning" 1 => "S.D. Hsieh" 2 => "M. Ashwell" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1017/S0954422410000144" "Revista" => array:6 [ "tituloSerie" => "Nutr Res Rev" "fecha" => "2010" "volumen" => "23" "paginaInicial" => "247" "paginaFinal" => "269" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20819243" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0310" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation of body fat measurement by skinfolds and two bioelectric impedance methods with DEXA – the Chennai Urban Rural Epidemiology Study [CURES-3]" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S. Vasudev" 1 => "A. Mohan" 2 => "D. Mohan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Assoc Phys India" "fecha" => "2004" "volumen" => "52" "paginaInicial" => "877" "paginaFinal" => "881" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0315" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bioelectrical impedance and dual-energy X-ray absorptiometry assessments of changes in body composition following exercise in patients with type 2 diabetes mellitus" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M. Miyatani" 1 => "P. Yang" 2 => "S. Thomas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1155/2012/953060" "Revista" => array:5 [ "tituloSerie" => "J Obes" "fecha" => "2012" "volumen" => "2012" "paginaInicial" => "953060" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23029604" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0320" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Tanita Corporation. Manual for TBF 300A/300/310/410 Body Composition Analyzer." ] ] ] 22 => array:3 [ "identificador" => "bib0325" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Polar RS300X Manual do Utilizador (PT)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Polar Electro Oy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2011" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0330" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ratings of perceived exertion and heart rates during short-term cycle exercise and their use in a new cycling strength test" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G. Borg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-2008-1026080" "Revista" => array:6 [ "tituloSerie" => "Int J Sports Med" "fecha" => "1982" "volumen" => "3" "paginaInicial" => "153" "paginaFinal" => "158" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7129724" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0335" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "AHA Science Advisory: Lyon Diet Heart Study. Benefits of a Mediterranean-style, National Cholesterol Education Program/American Heart Association Step I dietary pattern on cardiovascular disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "P. Kris-Etherton" 1 => "R.H. Eckel" 2 => "B.V. Howard" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2001" "volumen" => "103" "paginaInicial" => "1823" "paginaFinal" => "1825" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11282918" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0340" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Kinanthropometry and Exercise Physiology Laboratory Manual: tests, procedures and data" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Eston" 1 => "T. Reilly" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:2 [ "fecha" => "2009" "editorial" => "Taylor & Francis" ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0345" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Standards for physical activity and exercise in the cardiac population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Association of Chartered Physiotherapists in Cardiac Rehabilitation (ACPICR)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2009" ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0350" "etiqueta" => "28" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guidelines for exercise testing and prescription" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "American College of Sports Medicine (ACSM)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:2 [ "fecha" => "2013" "editorial" => "Wolters Kluwer/Lippincott Williams & Wilkins Health" ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0355" "etiqueta" => "29" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy of exercise-based cardiac rehabilitation post-myocardial infarction: a systematic review and meta-analysis of randomized controlled trials" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.R. Lawler" 1 => "K.B. Filion" 2 => "M.J. Eisenberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ahj.2011.07.017" "Revista" => array:6 [ "tituloSerie" => "Am Heart J" "fecha" => "2011" "volumen" => "162" "paginaInicial" => "571" "paginaFinal" => "584.e2" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21982647" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0360" "etiqueta" => "30" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Análise estatística com o PASW statistics (ex-SPSS)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Marôco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2010" "editorial" => "ReportNumber" "editorialLocalizacion" => "Pêro Pinheiro" ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib0365" "etiqueta" => "31" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A.H. Lichtenstein" 1 => "L.J. Appel" 2 => "M. Brands" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/CIRCULATIONAHA.106.176158" "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2006" "volumen" => "114" "paginaInicial" => "82" "paginaFinal" => "96" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16785338" "web" => "Medline" ] ] ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib0370" "etiqueta" => "32" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Voluntary exercise improves high-fat diet-induced leptin resistance independent of adiposity" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "K.A. Krawczewski Carhuatanta" 1 => "G. Demuro" 2 => "M.H. Tschop" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1210/en.2010-1340" "Revista" => array:6 [ "tituloSerie" => "Endocrinology" "fecha" => "2011" "volumen" => "152" "paginaInicial" => "2655" "paginaFinal" => "2664" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21586558" "web" => "Medline" ] ] ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib0375" "etiqueta" => "33" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effects of exercise-induced weight loss on appetite-related peptides and motivation to eat" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "C. Martins" 1 => "B. Kulseng" 2 => "N.A. King" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1210/jc.2009-2082" "Revista" => array:6 [ "tituloSerie" => "J Clin Endocrinol Metab" "fecha" => "2010" "volumen" => "95" "paginaInicial" => "1609" "paginaFinal" => "1616" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20150577" "web" => "Medline" ] ] ] ] ] ] ] ] 33 => array:3 [ "identificador" => "bib0380" "etiqueta" => "34" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "C.M. Kastorini" 1 => "H.J. Milionis" 2 => "K. Esposito" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jacc.2010.09.073" "Revista" => array:6 [ "tituloSerie" => "J Am Coll Cardiol" "fecha" => "2011" "volumen" => "57" "paginaInicial" => "1299" "paginaFinal" => "1313" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21392646" "web" => "Medline" ] ] ] ] ] ] ] ] 34 => array:3 [ "identificador" => "bib0385" "etiqueta" => "35" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.M. Browning" 1 => "S.D. Hsieh" 2 => "M. Ashwell" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1017/S0954422410000144" "Revista" => array:6 [ "tituloSerie" => "Nutr Res Rev" "fecha" => "2010" "volumen" => "23" "paginaInicial" => "247" "paginaFinal" => "269" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20819243" "web" => "Medline" ] ] ] ] ] ] ] ] 35 => array:3 [ "identificador" => "bib0390" "etiqueta" => "36" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Health promotion in action: from local to global empowerment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G. Laverack" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Palgrave Macmillan" "fecha" => "2008" "volumen" => "70" "paginaInicial" => "736" "paginaFinal" => "741" ] ] ] ] ] ] 36 => array:3 [ "identificador" => "bib0395" "etiqueta" => "37" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Metabolic fate of saturated and monounsaturated dietary fats: the Mediterranean diet revisited from epidemiological evidence to cellular mechanisms" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A. Bergouignan" 1 => "I. Momken" 2 => "D.A. Schoeller" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.plipres.2009.02.004" "Revista" => array:6 [ "tituloSerie" => "Prog Lipid Res" "fecha" => "2009" "volumen" => "48" "paginaInicial" => "128" "paginaFinal" => "147" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19275915" "web" => "Medline" ] ] ] ] ] ] ] ] 37 => array:3 [ "identificador" => "bib0400" "etiqueta" => "38" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Body composition changes and cardiometabolic benefits of a balanced Italian Mediterranean Diet in obese patients with metabolic syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "N. Di Daniele" 1 => "L. Petramala" 2 => "L. Di Renzo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00592-012-0445-7" "Revista" => array:6 [ "tituloSerie" => "Acta Diabetol" "fecha" => "2013" "volumen" => "50" "paginaInicial" => "409" "paginaFinal" => "416" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23188216" "web" => "Medline" ] ] ] ] ] ] ] ] 38 => array:3 [ "identificador" => "bib0405" "etiqueta" => "39" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recent advances in the relationship between obesity, inflammation, and insulin resistance" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J.P. Bastard" 1 => "M. Maachi" 2 => "C. Lagathu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Cytokine Netw" "fecha" => "2006" "volumen" => "17" "paginaInicial" => "4" "paginaFinal" => "12" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16613757" "web" => "Medline" ] ] ] ] ] ] ] ] 39 => array:3 [ "identificador" => "bib0410" "etiqueta" => "40" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Physical activity and exercise in the regulation of human adipose tissue physiology" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "D. Thompson" 1 => "F. Karpe" 2 => "M. Lafontan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1152/physrev.00012.2011" "Revista" => array:6 [ "tituloSerie" => "Physiol Rev" "fecha" => "2012" "volumen" => "92" "paginaInicial" => "157" "paginaFinal" => "191" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22298655" "web" => "Medline" ] ] ] ] ] ] ] ] 40 => array:3 [ "identificador" => "bib0415" "etiqueta" => "41" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Addition of aerobic exercise to dietary weight loss preferentially reduces abdominal adipocyte size" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T. You" 1 => "K.M. Murphy" 2 => "M.F. Lyles" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Int J Obes (Lond)" "fecha" => "2006" "volumen" => "30" "paginaInicial" => "1211" "paginaFinal" => "1216" ] ] ] ] ] ] 41 => array:3 [ "identificador" => "bib0420" "etiqueta" => "42" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Self-efficacy for exercise in cardiac rehabilitation: review and recommendations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Woodgate" 1 => "L.R. Brawley" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/1359105307088141" "Revista" => array:6 [ "tituloSerie" => "J Health Psychol" "fecha" => "2008" "volumen" => "13" "paginaInicial" => "366" "paginaFinal" => "387" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18420771" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack274000" "titulo" => "Acknowledgments" "texto" => "<p id="par0245" class="elsevierStylePara elsevierViewall">The authors thank the department of nutritional epidemiology at the University of Porto for their assistance in processing the data from the FFQ, and Dr. Bianca Castro for reviewing the content of the Mediterranean diet.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003400000011/v2_201703180236/S217420491500210X/v2_201703180236/en/main.assets" "Apartado" => array:4 [ "identificador" => "9917" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original Articles" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003400000011/v2_201703180236/S217420491500210X/v2_201703180236/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491500210X?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 6 | 11 |
| 2024 October | 40 | 34 | 74 |
| 2024 September | 48 | 24 | 72 |
| 2024 August | 40 | 31 | 71 |
| 2024 July | 34 | 29 | 63 |
| 2024 June | 22 | 18 | 40 |
| 2024 May | 28 | 17 | 45 |
| 2024 April | 25 | 20 | 45 |
| 2024 March | 21 | 19 | 40 |
| 2024 February | 33 | 31 | 64 |
| 2024 January | 16 | 32 | 48 |
| 2023 December | 23 | 24 | 47 |
| 2023 November | 23 | 18 | 41 |
| 2023 October | 35 | 28 | 63 |
| 2023 September | 31 | 16 | 47 |
| 2023 August | 27 | 21 | 48 |
| 2023 July | 19 | 12 | 31 |
| 2023 June | 26 | 16 | 42 |
| 2023 May | 35 | 17 | 52 |
| 2023 April | 15 | 6 | 21 |
| 2023 March | 20 | 21 | 41 |
| 2023 February | 20 | 19 | 39 |
| 2023 January | 24 | 19 | 43 |
| 2022 December | 34 | 24 | 58 |
| 2022 November | 57 | 34 | 91 |
| 2022 October | 43 | 20 | 63 |
| 2022 September | 36 | 28 | 64 |
| 2022 August | 45 | 30 | 75 |
| 2022 July | 57 | 37 | 94 |
| 2022 June | 29 | 21 | 50 |
| 2022 May | 25 | 33 | 58 |
| 2022 April | 35 | 23 | 58 |
| 2022 March | 19 | 27 | 46 |
| 2022 February | 23 | 21 | 44 |
| 2022 January | 19 | 24 | 43 |
| 2021 December | 21 | 24 | 45 |
| 2021 November | 36 | 34 | 70 |
| 2021 October | 37 | 37 | 74 |
| 2021 September | 24 | 24 | 48 |
| 2021 August | 34 | 31 | 65 |
| 2021 July | 22 | 26 | 48 |
| 2021 June | 20 | 22 | 42 |
| 2021 May | 29 | 34 | 63 |
| 2021 April | 58 | 17 | 75 |
| 2021 March | 64 | 20 | 84 |
| 2021 February | 51 | 12 | 63 |
| 2021 January | 28 | 14 | 42 |
| 2020 December | 27 | 7 | 34 |
| 2020 November | 37 | 14 | 51 |
| 2020 October | 17 | 11 | 28 |
| 2020 September | 56 | 14 | 70 |
| 2020 August | 24 | 8 | 32 |
| 2020 July | 44 | 13 | 57 |
| 2020 June | 36 | 25 | 61 |
| 2020 May | 41 | 5 | 46 |
| 2020 April | 41 | 9 | 50 |
| 2020 March | 55 | 13 | 68 |
| 2020 February | 59 | 84 | 143 |
| 2020 January | 28 | 20 | 48 |
| 2019 December | 39 | 20 | 59 |
| 2019 November | 27 | 14 | 41 |
| 2019 October | 26 | 4 | 30 |
| 2019 September | 13 | 11 | 24 |
| 2019 August | 32 | 4 | 36 |
| 2019 July | 47 | 14 | 61 |
| 2019 June | 20 | 10 | 30 |
| 2019 May | 41 | 13 | 54 |
| 2019 April | 28 | 26 | 54 |
| 2019 March | 55 | 9 | 64 |
| 2019 February | 55 | 7 | 62 |
| 2019 January | 36 | 9 | 45 |
| 2018 December | 94 | 12 | 106 |
| 2018 November | 208 | 11 | 219 |
| 2018 October | 364 | 12 | 376 |
| 2018 September | 86 | 19 | 105 |
| 2018 August | 46 | 8 | 54 |
| 2018 July | 41 | 6 | 47 |
| 2018 June | 60 | 11 | 71 |
| 2018 May | 68 | 12 | 80 |
| 2018 April | 158 | 9 | 167 |
| 2018 March | 142 | 10 | 152 |
| 2018 February | 119 | 5 | 124 |
| 2018 January | 79 | 10 | 89 |
| 2017 December | 114 | 6 | 120 |
| 2017 November | 82 | 9 | 91 |
| 2017 October | 32 | 14 | 46 |
| 2017 September | 29 | 11 | 40 |
| 2017 August | 35 | 11 | 46 |
| 2017 July | 26 | 12 | 38 |
| 2017 June | 34 | 10 | 44 |
| 2017 May | 52 | 12 | 64 |
| 2017 April | 23 | 7 | 30 |
| 2017 March | 25 | 22 | 47 |
| 2017 February | 28 | 14 | 42 |
| 2017 January | 29 | 6 | 35 |
| 2016 December | 35 | 15 | 50 |
| 2016 November | 29 | 5 | 34 |
| 2016 October | 37 | 18 | 55 |
| 2016 September | 20 | 23 | 43 |
| 2016 August | 3 | 2 | 5 |
| 2016 July | 17 | 14 | 31 |
| 2016 June | 6 | 21 | 27 |
| 2016 May | 6 | 4 | 10 |
| 2016 April | 34 | 21 | 55 |
| 2016 March | 30 | 33 | 63 |
| 2016 February | 47 | 36 | 83 |
| 2016 January | 65 | 41 | 106 |
| 2015 December | 16 | 9 | 25 |
Show all
